MR. M.hasan Imam

NPI #1356673966 in Glen Oaks, New York

Provider Information

NPI Number: 1356673966
Entity Type: Individual
Name: MR. M.hasan Imam
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Feb 6, 2010
Last Updated: Feb 6, 2010

Practice Location

Address: 25709 UNION TPKE
City: Glen Oaks
State: New York
ZIP Code: 11004-1250
Phone: (718) 962-2906

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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